Laserfiche WebLink
PACIFIC REGIONAL LANDFILL <br /> AN ALLIED WASTE COMPANY <br /> Client: 8- Landfill: <br /> Contact: Generator: a ❑a S <br /> Phone#: Sales Person: <br /> Quantity: CD - S' Site: ass <br /> Reviewed By: J G-, Address: <br /> Waste Profile Form Accept Job# <br /> Chain of Custody pt Approval#: <br /> 0 Gasoline Contamination ❑ Ash <br /> TPH-g ❑ Accept TTLC CAM 17 Metals 0 Accept <br /> BTEX 0 Accept pH ❑ Accept <br /> TTLC Pb ❑ Accept <br /> F-Diesel/Virgin Oil Contamination 0 Hydraulic Fluid <br /> TPHd ccept TPH-hf ❑ Accept <br /> BTEX ❑ ccept BTEX ❑ Accept <br /> TTLC CAM 5 Metals ❑ Accept <br /> 0 Waste Oil Contamination ❑ Sludge <br /> TPH-g 0 Accept TTLC CAM 17 Metals 0 Accept <br /> TPH-d ❑ Accept VOCs ❑ Accept <br /> TOG 0 Accept SVOCs 0 Accept <br /> VOCs ❑ Accept Paint Filter 0 Accept <br /> SVOCs 0 Accept TPH 0 Accept <br /> TTLC CAM 5 Metals ❑ Accept Reactivity, pH ❑ Accept <br /> PCBs ❑Accept <br /> ❑ Other ❑ Treated Wood <br /> ORGANICS TTLC/TCLP PPM Metals TTLC/STLC PPM <br /> TPH Gas Q Antimony AP p Mercury <br /> TPH Diesel Arsenic a Molybdenum / <br /> TPH Motor Oil Barium -7 Nickel / <br /> Other: Beryllium NA Selenium (J <br /> Benzene Cadmium Silver <br /> Total T.E.X. Chromium 9-- Thallium <br /> Total HVOC's NO Chromium 6 Vanadium <br /> Total SemiVoc's CobaltZinc <br /> Other: Copper <br /> 3 <br /> Lead <br /> !I NOTES: <br /> ern ffPb%/2 DATE: /67& <br /> DISPOSAL: .CLASS II C SOI �� <br /> PRE-LIEN S NO Check w/Management C. <br /> 1 145 WEST CHARTER WAY, POST OFFICE BOX 6336 <br /> STOCKTON, CA 95206 <br /> 800.204.4242/FAX 209.466.1067 <br /> www.disposal.com <br />